Individual provider Active NPI

Ramon L Rodriguez, M.D.

  • Family Medicine Physician
National Provider Identifier
1750497103
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16414 Issued in PR
Practice address
Hospital Menonita Coamo
Coamo, PUERTO RICO 00769
UM
Phone
(787) 455-0022
Fax
(787) 845-3311
NPI assigned
Aug 21, 2006
Last updated
Aug 15, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16414 PR Primary

Addresses

Primary practice location

Hospital Menonita Coamo
Coamo, PUERTO RICO 00769
UM

Mailing address

PO Box 1006
Santa Isabel, PR 00757-1006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000526 PR Practitioner - General Practice 7113029703 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salud Integral En la Montana IncGroup PAC ID 8527972827, shared by 11 NPIs, 64 clinicians

Practice addresses (Care Compare)

Carr 155 Ave Luis Munoz Marin
Sector El Desvio
Orocovis, PR 00720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. CurrentSince Jun 5, 2019 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 5, 2019 Accepting new patients
Municipio de Santa Isabel CurrentSince Jun 1, 2020 Accepting new patients
Municipio de Santa Isabel CurrentSince Jun 1, 2020 Accepting new patients
Salud Integral En la Montana, Inc. Family Medicine CurrentSince Jun 5, 2019 Accepting new patients
Salud Integral En la Montana, Inc. CurrentSince Jun 5, 2019 Accepting new patients
Salud Integral En la Montana, Inc Past Accepting new patients

Locations

156 Calle Barcelo
#53
Barranquitas, PR 00794
Phone (787) 857-2688

89 Calle Hostos
Santa Isabel, PR 00757
Phone (787) 845-4040

16 Calle Antonio R Barcelo
Toa Alta, PR 00953
Phone (787) 230-7190

Interoperability endpoints

  • Direct secure messaging: ramon.rodriguezfernandez@3479.securemail.prognocis.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313366400000",
    "number": "1750497103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1006",
            "city": "SANTA ISABEL",
            "state": "PR",
            "postal_code": "007571006"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "HOSPITAL MENONITA COAMO",
            "city": "COAMO",
            "state": "PUERTO RICO",
            "postal_code": "00769",
            "telephone_number": "787-455-0022",
            "fax_number": "787-845-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RAMON",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2011-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.